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differential evaluation adrenal insufficiency clinical management pathophysiology physicalexam acromegaly acth anemia ascites bone calcium cushings deformity degeneration dermatology dislocation effusions
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Evaluation 1) Clinical clues ... Vit D • If all ... normal, move on ... #differential #diagnosis ... #endocrinology
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Evaluation Algorithm ... may actually be normal ... Consider additional tests ... considered likely, the cause ... #Workup #Evaluation
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... ACTH) stimulation test ... insufficiency • Low or normal ... #Algorithm #endocrinology
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Causes of Knee Effusions ... - Differential Diagnosis ... Effusions - Septic ... - Synovium - Oral ... #msk #physicalexam
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Algorithm - Evaluation ... unclear (often the case ... Standard Stim test ... this indicates normal ... #Endocrinology
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
Low ascitic fluid ... syndrome as a cause ... Although nonhepatic causes ... only about 15% of all ... #workup #algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... • Low TSH, Low normal ... Hyperthyroidism: Work-up ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... aldosterone - Often normal ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Mucoid Degeneration of the ACL Imaging Findings: • T2-hyperintense fluid-signal within the enlarged ACL on both the
will often be NORMAL ... Differential Diagnosis ... - Can cause ... #degeneration #knee ... #msk
Mental Status Exam (MSE) Note: The MSE is a "snapshot" of a patient at a specific time. You
the mnemonic "ASEPTIC ... goal-oriented (normal ... anxiety about work ... , the symptoms caused ... #psychiatry #diagnosis
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